| NPI | 1902258080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery Foot and Ankle Surgery (Licence: OR MD176550) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OR MD176550) |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2024-06-19 |